Glucophage mu gynecology: mankhwalawa amathandizira povomerezeka ndi polycystic ovary

Glucophage yokhala ndi thumba losunga mazira m'mimba mwake ndi gawo limodzi mwa njira zovuta za matendawa, zomwe cholinga chake ndikuchotsa mawonekedwe a cystic, kuyambiranso ntchito yamchiberekero yam'mimba komanso momwe mayi amatha kubereka.

Mankhwalawa amalembedwa kwa kugonana koyenera, omwe amadwala matenda a shuga ndipo sangathe kutenga pakati.

Chowonadi ndi chakuti nthawi zambiri kumakhala kusowa kwa insulin ndi hyperglycemia komwe kumapangitsa kuti pakhale ma cysts ambiri pamimba yam'mimba. Glucophage 500 mu gynecology imathandizira kusintha mapangidwe a kusasitsa kwa dzira ndikuyambiranso msambo. Kuti akwaniritse zabwino zaumoyo, madokotala amapereka mankhwala kwa akazi kuyambira tsiku la 16 mpaka 26 la mkombero.

Kodi Glucophage ndi chiyani?

Glucophage ndi antidiabetesic monopreparation, gawo lalikulu lomwe ndi metformin biguanide. Amachepetsa kuchuluka kwa shuga m'magazi am'magazi musanadye chakudya, osakhudza kupanga kwa insulin ndi kapamba.

Kukonzekera kwa glucophage

Mankhwala omwe amagwira ntchito amakhala motere:

• amalepheretsa kuchepa kwa glycogen m'chiwindi, komwe kumachepetsa kuchuluka kwa shuga m'magazi;
• kumawonjezera kuchepa kwa insulin, kumathandizira kusintha kwa shuga kuchokera kuzowola;
• imayimitsa mayamwidwe osavuta a chakudya m'mimba.

Kuphatikiza apo, Glucophage imalimbikitsa kaphatikizidwe ka glycogen kuchokera ku glucose ndipo imathandizira pakupanga kwa lipid mankhwala.

Zotsatira zamankhwala:

• lembani matenda ashuga a 2 odwala akuluakulu (makamaka ogwirizana ndi kunenepa kwambiri) ndi wachibale kapena kusakwanira kwathunthu pakudya;
• hyperglycemia, yomwe imakhala pachiwopsezo cha matenda ashuga;
• kulolerana kwa glucose kwa insulin.

Zomwe amagwiritsidwa ntchito ndi mankhwalawa a polycostic ovary syndrome

Polycystic ovary syndrome kapena PCOS ndi nthenda yofala kwambiri yokhudza kubereka kwa azimayi azaka zapakati pa 16 mpaka 45.

Pathology imanena za kuchuluka kwa zovuta za endocrine, zomwe zimakhazikitsidwa ndi hyperandrogenism ya chiyambi cha ovari ndi mzunguko wa anovulatory. Zisokonezozi zimayambitsa zovuta zosiyanasiyana za kusamba kwa msambo, hirsutism ndipo ndizomwe zimayambitsa kusabereka kwachiwiri.

Polycystic Ovary Syndrome

Asayansi adatha kuzindikira momwe azimayi omwe ali ndi PCOS amalemera kwambiri 70% pamavuto azachipatala ndipo pafupifupi mmodzi mwa anayiwo amapezeka kuti amalekerera shuga kapena matenda a shuga.

Izi zidapangitsa madotolo ku lingaliro lotsatira. Hyperandrogenism ndi hyperglycemia ndi njira ziwiri zomwe zimagwirizanirana. Chifukwa chake, kuyikidwa kwa Glucofage mu PCOS, kuchepetsa insulin, kumapangitsa kusintha kwa kayendedwe ka mwezi, kuthetsa androjeni ochulukirapo, ndikuyambitsa ovulation, zomwe zingayambitse kutenga pakati.Malinga ndi kafukufuku wambiri m'derali, wapezeka:

• Pambuyo pa miyezi isanu ndi umodzi ya kumwa mankhwalawa mwa akazi, kuchuluka kwa kugwiritsira ntchito shuga m'magazi kumawonjezeka;
• Pambuyo pa miyezi isanu ndi umodzi ya chithandizo, n`zotheka kukhazikitsa chizolowezi cha kusamba ndi ovulation pafupifupi 70% ya odwala;
• m'modzi mwa akazi asanu ndi atatu omwe ali ndi PCOS amakhala ndi pakati pakutha kwa maphunziro oyamba.

Contraindication

Tsoka ilo, si odwala onse omwe angatenge Glucophage ndi polycystic ovary, popeza mankhwalawa ali ndi zotsutsana zingapo zogwiritsidwa ntchito, kuphatikizapo:

• ketoacidosis wokwiyitsidwa ndi matenda a shuga;
• zovuta zodziwika bwino za matenda ashuga;
• aimpso ndi chiwindi kulephera;
• poyizoni wakumwa woledzera ndi uchidakwa;
• tsankho limodzi ndi zigawo zikuluzikulu za mankhwala;
• pachimake pathological zinthu zikuchitika motsutsana maziko a kwambiri aimpso kukanika (chic, kuchepa madzi m`thupi);
• Matendawa omwe amapangitsa kuti pachimake minyewa ikhale yayikulu hypoxia:

Zosiyanasiyana zimachitikira mankhwala

Ngati mukukhulupirira ndemanga za mankhwalawa ndi Gluconage PCOS, ndiye poyambira kumwa mankhwalawa, zimatha kuyambitsa zovuta zingapo zomwe sizikufunika kudzipereka ndikuzipereka kwaokha kwa masiku angapo.

Mwa zina zosasangalatsa zamankhwala, odwala amasiyanitsa nseru, kusanza kwa episodic, mawonekedwe a ululu pamimba, kukhumudwa pang'onopang'ono, kuchepa kwa chilakolako chofuna kudya..

Mwamwayi, zoterezi sizimachitika kawirikawiri ndipo sizowopsa pakugwira ntchito kwakuthupi. Zotsatira zoyipa zomwe zimapezeka kwambiri m'mimba, zomwe zimasonyezedwa ndi dyspepsia, ululu m'malo osiyanasiyana am'mimba, komanso kusowa kwa chakudya.

Zizindikiro zonsezi zimatha patapita masiku angapo kuyambira chiyambi cha mankhwala. Mutha kuzipewa ngati mugwiritsa ntchito mankhwalawa muyezo zingapo (zolimbikitsidwa katatu patsiku) mukatha kudya kapena mukamadya. Odwala ambiri amakhalanso ndi vuto lamanjenje, ndiko kusowa kwa kukoma.

Glucongage yokhala ndi ma polycystic ovaries imatha kuyambitsa kuwoneka kwa zovuta za metabolic mwanjira ya lactic acidosis.

Komanso, pogwiritsa ntchito mankhwala kwa nthawi yayitali kuchokera ku gulu la Metformin, kuchepa kwa mayamwidwe a cyancobalamin (vitamini B12) kumayang'aniridwa, zomwe pambuyo pake zimatsogolera kukukula kwa kuchepa kwa magazi m'thupi.

Ndizosowa kwambiri kuti azimayi apezeke ndi vuto lochokera ku chiwindi ndi chithokomiro, komanso khungu. Zosokoneza pakuyenda kwa hepatobiliary system zimawonetsedwa ndi hepatitis yaposachedwa, yomwe imazimiririka atayimitsa mankhwalawo. Erythema, kuzimiririka komanso kupyapyala pakhungu kumawoneka pakhungu, koma izi ndizosowa kuposa chizolowezi.

Kuchita ndi mankhwala ena ndi mowa

Glucophage mu PCOS iyenera kugwiritsidwa ntchito mosamala pamodzi ndi mankhwala omwe ali ndi chochitika chomwe chimawonjezera kuchuluka kwa shuga m'magazi, monga glucocorticosteroids ndi sympathomimetics.

Osagwiritsa ntchito mankhwalawa kuphatikiza ndi zida zodulira.

Machitidwe oterewa amawonjezera chiopsezo cha lactic acidosis chifukwa cha kuchepa kwa impso.

Musanayambe maphunziro a x-ray ndikusokoneza mtsempha wa ayodini, ndikofunikira kusiya kulandira Glucofage masiku awiri asanafike. Kunyalanyaza chilimbikitsochi nthawi zambiri kumayambitsa kulephera kwa impso.

Ndemanga

Malinga ndi iwo, mankhwalawa amavomerezedwa bwino ndi thupi, osagwiritsa ntchito mphamvu komanso kupitilira nthawi angakwaniritse zotsatira zomwe angafunike pogwiritsa ntchito njira zochizira zokha.

Mphindi yokhayo, theka la odwala omwe adayesera mankhwalawo anali ndi zoyipa poyambira chithandizo, koma adangodutsa osafunikira kusiya maphunzirowo.

Makanema okhudzana nawo

Zakudya ndi gawo lofunikira pakuchiritsa kovuta kwa ovary ya polycystic:

Ndemanga zingapo zabwino za Glucophage nthawi yayitali mu PCOS zikusonyeza kuti mankhwalawa ndi othandizadi polimbana ndi zotupa za polycystic ovarian ndi hyperandrogenism ya genesis yomweyo. Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumalola kuti azimayi athetse vuto la mapangidwe a cyst, komanso kuti ayambenso kusintha kwachilendo, kusinthitsa kuchepa kwa magazi, motero, amakhala ndi pakati, ngakhale atazindikira kuti ali ndi matenda ashuga.